TechDetail

Last Updated:  5/18/2024 5:22:36 AM

Technician Detail               
Name  DIVINE IKOME  KULU 
Type  Technician 
Number 23715 
City  PIEDMONT, OK  73078 
Status CANCELED
Issue Date  02/15/2018 
Renewed Date 02/16/2018
Expire Date  01/31/2019 
End Date  09/20/2018 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action